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Report #2893014

Received Apr 16, 2026

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
11 yrs
State
VA
Recovered
Unknown
Vaccinated
Feb 3, 2026
Onset
Feb 3, 2026
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052581IM / LA
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS39G523IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Adult vaccine given to 11 year-old.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

None